CAJ | 학술논문

目的研究长托宁预防经尿道内镜下钬激光碎石术围术期寒颤的作用.方法120例择期尿路结石的患者,随机分为两组,每组60例.实验组术前静脉注射长托宁0.5mg,对照组静脉阿托品0.5mg.观察记录患者心律变化、寒颤发生情况.结果实验组心律变化不明显,寒颤发生率低,和对照组比较有显著性差异.结论长托宁预防经尿道内镜下钬激光碎石术围术期寒颤较阿托品效果显著,且副作用少.
목적연구장탁저예방경뇨도내경하화격광쇄석술위술기한전적작용.방법120례택기뇨로결석적환자,수궤분위량조,매조60례.실험조술전정맥주사장탁저0.5mg,대조조정맥아탁품0.5mg.관찰기록환자심률변화、한전발생정황.결과실험조심률변화불명현,한전발생솔저,화대조조비교유현저성차이.결론장탁저예방경뇨도내경하화격광쇄석술위술기한전교아탁품효과현저,차부작용소.
Objective? Study the effect of Penehyclidine Hydrochloride injected to prevent the perioperative shivering of Transureteroscope holmium laser lithotripsy for ureteral calculi . Methods 120 cases of patient underwent Transureteroscope holmium laser lithotripsy for ureteral calculi in epidural anesthesia, were randomly divided into two groups, 60 in each group. Experimental group was given Penehyclidine Hydrochloride 0.5mg before operation. Control group was given atropine 0.5mg before operation too.Recording the patient’s heart rate , observing and recording occurence conditions of shivering. Results There was no remarkable difference in two groups in general condition; There were no remarkable difference in the change of HR in EG; And HR was increasing remarkably in CG; More patients had shivering in EG than in CG, and there were remarkable difference in the two groups. Conclusion Penehyclidine Hydrochloride is better than atropine in preventing perioperative shivering of Transureteroscope holmium laser lithotripsy for ureteral calculi , and have less adverse reaction..